Why Disability Claims Get Denied

Before filing an appeal, it’s helpful to understand common reasons for denial:

• Insufficient medical evidence
• Incomplete or inaccurate application
• Earning above the income limit for SSDI or SSI
• Failure to follow prescribed treatments
• Not meeting the SSA’s definition of disability

The Four Levels of Appeal in Ohio

The Social Security Administration (SSA) provides four levels of appeal. If your initial application was denied, here’s what you can do next:

1. Reconsideration

• Deadline: File within 60 days of receiving your denial.
• A new claims examiner will review your application and any new medical evidence.
• No hearing is required.

2. Administrative Law Judge (ALJ) Hearing

• If your reconsideration is denied, you can request a hearing before an ALJ.
• You will testify about your condition, and your medical evidence will be reviewed in depth.
• You can also bring witnesses or submit additional records.

3. Appeals Council Review

• If the ALJ denies your claim, you can request a review by the Appeals Council.
• The council may approve, deny, or return your case for another hearing.

4. Federal Court Review

• If all SSA appeal options are exhausted, you can file a lawsuit in U.S. District Court.

How to Strengthen Your Appeal

To improve your chances of success, take these steps during the appeal:

• Submit New Medical Records: Include updated documentation of your condition.
• Get a Doctor’s Statement: A detailed explanation of your limitations from your treating physician can carry weight.
• Be Consistent: Ensure your statements match your medical records.
• Respond Quickly: Don’t miss appeal deadlines—your window to act is short.